Alignment Health Heart & Diabetes C-SNP 005

Alignment Health introduces the Heart & Diabetes C-SNP 005 plan to support year-round enrollment, tying into Alignment’s clinical model.

Chronic Condition Special Needs (C-SNP) plans are a type of Medicare Advantage (MA) plan designed to meet the unique needs of people with one or more chronic conditions.

C-SNP Qualifying Drug Reference List* (Under Alignment Healthcare)

*The linked “C-SNP QUALIFYING DRUG REFERENCE LIST” may not be comprehensive and is intended to be used only as a general guide to assist in identifying members that may qualify. Members that are on any of these drugs are not guaranteed to be eligible for C-SNP as the drug may be used for off label purposes or other diagnoses. Medications listed may have coverage restrictions or not be covered on formulary.

Heart/Diabetes Chronic Condition Special Needs Program (C-SNP) Qualifying Conditions

A Physician Confirmed Diagnosis in One of the Following Categories:

• Diabetes diagnosis
• Chronic Heart Failure diagnosis
• Cardiovascular Diagnosis of Cardiac Arrhythmias, Coronary Artery Disease, peripheral Vascular Disease, and/or Chronic Venous Thromboembolic Disorder

Alternate Names for Qualifying Conditions:

1. Diabetes
   • High blood sugar
   • Non-insulin depended diabetes
   • Adu;t-onset diabetes
2. Chronic Heart Failure
   • Congestive Heart Failure
   • CHF
   • Heart Failure
3. Cardivascular Diagnosis
   1. Coronary Artery Disease
      • Plaque in the arteries
      • Ischemic heart disease
      • Blocked or narrowing of caronary arteries
      • Atherosclerosis
      • Stroke
      • Peripherial arterial disease
      • Heart attack
      • Clogged arteries
   2. Cardiac Arrhythmias
      • Irregular heartbeat
      • PVCs (premature beats)
      • Atrial Fibrillation
      • Pacemaker to control heartrate
   3. Chronic Venous Thromboembolic Disorder
      • Blood clot in the vein
      • Deep vein thrombosis
      • Pulmonary embolism